Neurological System Pt. 2 ATI

a nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat major depressive disorder. Which of the following instruction should the nurse include?

- change positions slowly from sitting or lying to standing -do not stop taking the drug abruptly -take the drug at bedtime to prevent daytime drowsiness increase fiber and fluid intake

Which of the following drugs, used to treat open-angle glaucoma, should primary care providers use with caution for a client who is taking propranolol

Betaxolol can cause bradycardia and hypotension

a nurse is reviewing the drug history of a client who is taking lithium carbonate for bipolar disorder. Which of the following finding should indicate to the nurse to monitor for lithium toxicity?

Furosemide for hypertension

you are instructing a client about taking phenelzine to treat depression. Which of the following foods should you tell the client to avoid?

aged cheese Tyramine-enriched foods may trigger severe hypertension in clients

a nurse is providing teaching to a client who has a prescription for buspirone. Which of the following instructions should the nurse include?

allow 2-4 weeks for full therapeutic effects

the primary care provider prescribes pilocarpine for the client. Which of the following information should he include when instructing the client about instilling pilocarpine eye drops?

apply gentle pressure to the nasolacrimal duct after instillation reduce systemic absorption

a nurse is providing teaching to a client about instilling pilocarpine for managing open-angle glaucoma. Which of the following instructions should the nurse include in the teaching?

apply gentle pressure to the nasolacrimal duct for 1 min after do not touch the tip of the dropper remove contact lenses prior to instilling the drops

the client returns to the primary care provider after 1 week. He is sweating and reports urinary urgency. He suspects systemic effects from the pilocarpine. Which of the following drugs can reverse systemic toxicity from pilocarpine?

atropine sulfate

a nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing he risk of lithium toxicity. Which of the following instructions should the nurse include?

avoid taking NSAIDs NSAIDs increase renal absorption of lithium and sodium

Which of the following drug classifications is the first line of therapy for treating open-angle glaucoma?

betablockers reduce the production of aqueous humor, reducing ophthalmic pressure

which of the following drugs blocks beta-adrenergic receptors and thereby decreases intraocular pressure by reducing the amount of aqueous humor produced?

betaxolol

the primary care provider continues to instruct the client about using pilocarpine. He tells the client to watch for and report which of the following adverse effects of this drug?

blurred vision, headache, visual floaters

a client is to start taking amitriptyline. For which of the following should you instruct the client to watch for and report?

blurred vision, urinary hesitancy, tachycardia

a nurse is providing teaching for a client who has a new prescription for betaxolol eye drops. Which of the following adverse effects should the nurse include in the teaching?

bradycardia block cardiac beta1 receptors

therapeutic use of lithium carbonate

controls manic episodes

a nurse is caring for a client who has a prescription for fluoxetine and who reports self-administrating St. John's wort daily for the past 2 weeks. Which of the following findings should the nurse report to the provider as an indication of serotonin syndrome?

hallucinations

a nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include?

headaches

the nurse should include that orthostatic hypotension is a common adverse reaction of which of the following drugs?

imipramine tricyclic antidepressant

when instructing a client about taking buspirone, you tell the client to watch for and report a paradoxical reaction to buspirone. Which of the following is a paradoxical effect of buspirone?

insomnia

early clinical manifestations of lithium toxicity include which of the following?

nausea, muscle weakness

during an assessment of a client taking chlorpromazine, you note a slow shuffling gait, rigid facial expression, and fine tremors. These manifestations indicate which of the following?

parkinsonism

Therapeutic use of venlafaxine

reduced depression

therapeutic use of betaxolol

reduces intraocular pressure

a nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. Which of the following findings should indicate to the nurse the reason for the prescription modification

renal function impairment

When reviewing the indications for various antidepressants, a nurse should always identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following?

seasonal affective disorder nicotine addiction depression

a nurse is providing teaching to a client who has a prescription for buspirone to treat anxiety. Which of the following instructions should the nurse include?

take a missed dose as soon as you remember

a client is taking venlafaxine to treat major depression. Which of the following instruction should you include when advising the client and family about the use of venlafaxine?

take it with food monitor and report insomnia have blood pressure checked regularly check with primary care provider before taking any herbal supplements

a nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder. Which of the following diagnostic tests should the nurse recommend to the client undergo periodically?

thyroid function tests

therapeutic use of risperidone

treats schizophrenia

a client is taking risperidone for schizophrenia. Recognizing the adverse effects of risperidone, you advise the client to watch for and report which of the following?

tremor

a nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. The nurse should instruct the client to monitor for which of the following finding as indications of lithium toxicity?

tremors confusion nausea muscle weakness

a nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. The nurse should identify that abruptly stopping alprazolam therapy can result in which of the following adverse effects?

withdrawal symptoms